Chinese people's experience of cancer in the UK: a reflexive thematic analysis

Aims: This study explored how Hong Kong Chinese cancer patients in the UK perceived their cancer experiences, and how aspects of Chinese culture influenced their access to and engagement with UK health and psychosocial services. Methods: We conducted reflexive thematic analysis on 10 semi-structured interviews with Hong Kong Chinese individuals who had cancer during the COVID-19 pandemic. Results: Participants viewed cancer as a continuum that began with an overwhelming sense of death-related fear and worry, followed by physical and mental exhaustion, and frustration over the need to proactively seek help. Communication challenges due to language barriers and cultural differences hindered trust in professionals. However, support from family, friends, and spirituality aided adjustment to cancer. Conclusions: This study highlights the cancer experiences of a small sample of Hong Kong Chinese people in the UK during the COVID-19 pandemic. Healthcare professionals should be aware of the unique cultural and language-related barriers faced by Hong Kong Chinese cancer patients in the UK. Culturally sensitive communication strategies and accessible practical support are essential to build trust and facilitate engagement with health and psychosocial services. Involving family, community, and spiritual resources in care planning may further support the wellbeing and adjustment of these patients.